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Provider Information for 1376640870


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RHODE ISLAND CVS PHARMACY, L.L.C.

Other Names:  
Doing Business As: 
CVS PHARMACY # 08320

Organization Subpart: NO

NPI: 1376640870
Last Updated: 2014-06-16
Certification Date:

Details

NameValue
NPI1376640870
Enumeration Date2006-09-20
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: CRISTIANA MAURICIO
Title: MGR PHCY ENROLLMENTS
Phone: 4017702937
Mailing Address 1 CVS DR
PO BOX 1075
WOONSOCKET, RI 02895-6146
United States

Phone: 401-765-1500 | Fax:
 
Primary Practice Address 1187 MAIN ST
WYOMING, RI 02898
United States

Phone: 401-539-4000 | Fax:401-539-2750
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)4106375Other ID Number-Commercial Number
Other (non-Medicare)RI9380001DME
MEDICAIDRIRR53968
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 3336C0003X - Pharmacy - Community/Retail Pharmacy
No 332B00000X - Durable Medical Equipment & Medical Supplies RI
Yes 333600000X - Pharmacy RIPHA00355